A:It looks like your brother has advanced liver disease secondary to HCV infection. The treatment options at this stage are limited. One possibility is liver transplantation, but you did not mention what other illnesses he has. Another possibility is to perform the TIPS procedure which may prevent the need for frequent taps for his ascites.
However, your brother has a complex problem and it would be best to discuss treatment options with your hepatologist. It would not be correct for me to make recommendations without knowing the full details.